Active NPI
Zachary Philip Hollander, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Los Angeles, CA
National Provider Identifier
1467034074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 106095
- Practice address
- 130 S Sepulveda Blvd Unit 314
Los Angeles, CA 90049-3154 - Phone
- (516) 850-6751
- NPI assigned
- Apr 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 106095 | CA | Primary |
Addresses
Primary practice location
130 S Sepulveda Blvd Unit 314
Los Angeles, CA 90049-3154
Mailing address
130 S Sepulveda Blvd Unit 314
Los Angeles, CA 90049-3154
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | zhall4@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1467034074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S SEPULVEDA BLVD UNIT 314",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S SEPULVEDA BLVD UNIT 314",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493154",
"telephone_number": "516-850-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "ZACHARY",
"middle_name": "PHILIP",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "106095",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "zhall4@gmail.com",
"affiliation": "N",
"address_1": "130 S Sepulveda Blvd Unit 314",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900493154",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.